Anterior tibiofemoral dislocation after total knee arthroplasty: A case report and literature review.

Anterior tibiofemoral dislocation after total knee arthroplasty is an extremely rare and serious event. Amongst English-published papers, we found only 15 relevant cases, 3 of which presented vascular complications. This manuscript aims to present a 77-year-old woman with a TC-Plus (Smith & Nephew) cruciate-retaining type in first time of knee prosthesis, who suffered an anterior tibiofemoral dislocation and were admitted to our hospital. The clinical management and outcome were evaluated. Furthermore, a review of literature was performed. We concluded that early detection and surgical intervention of vascular injury is the key in the survival of the limbs. If there is still knee instability after acute recovery, it seems that revision surgery with constrained total knee arthroplasty can bring about good clinical and functional results.

Unusual Late Complication of Latissimus Dorsi Free Flap Donor Site: Elastofibroma Dorsi.

In existing literature about elastofibroma dorsi (ED), no cases reported ED arising after latissimus dorsi flap harvest. Concretely, we present a patient who developed an ED at latissimus dorsi free flap donor site 10 years after harvesting. After our research, we found the occurrence of ED after thoracotomy surgery, stressing the importance of previous local trauma. Latissimus dorsi flap harvest is also a local traumatic episode, although its association with ED has not been previously reported. Thus, ED should be considered in the differential diagnosis of deep soft tissue lumps after latissimus dorsi harvest.

Arteriovenous Vascular Loop Using a Bifurcated Greater Saphenous Vein.

High-energy lower limb trauma may result in complex defects with extensive vascular damage. Free flap reconstruction in these cases may require vein grafts to reach healthy proximal recipient vessels. Vascular loops are an increasingly popular technique in managing recipient vessels in reconstructive microsurgery, especially in the lower limb. The use of an entire omega segment of the greater saphenous vein had not been described before but offered two advantages: the caliber match for arterial repair was better using one of the limbs of the omega compared with the parent greater saphenous vein, and it allowed two venous anastomoses instead of one. A case report of a fully bifurcated segment of the greater saphenous vein as a vascular loop for microvascular reconstruction in the lower limb is presented. To the best of the authors' knowledge, no similar case has been reported previously.

Estado nutricional y hábitos alimenticios en un equipo de fútbol profesional / Nutritional status and feeding habits in a professional soccer team

Pese a que el fútbol es el deporte más popular del planeta, la nutrición del futbolista está ciertamente descuidada. La actividad física exige una utilización mixta de los sistemas fisiológicos de obtención de energía, aeróbico y anaeróbico, requiriéndose una completa ingesta de nutrientes; siendo de sobra conocido el papel de los carbohidratos en el rendimiento deportivo. OBJETIVOS: El objetivo de este estudio es determinar la ingesta nutricional de macronutrientes en un equipo de fútbol profesional. MATERIAL Y MÉTODOS: Realizamos un estudio epidemiológico, descriptivo y prospectivo de la primera plantilla de un equipo de la Segunda División B española. Se trata de 22 jugadores masculinos, con edad media de 26,19 (19,5-31,6). Elaboramos un protocolo de recogida de alimentos ingeridos durante 7 días, contabilizando la ingesta de macronutrientes y cuantificándose el gasto energético total, variable en función del día de entrenamiento y posición del jugador. RESULTADOS: El total de carbohidratos globales consumidos fue de 305,07 +/- 56 gr (48,78% de las calorías). Estos valores varían entre el día de actividad moderada: 213,6 +/- 37 gr (39,93%) y el día de actividad intensa: 361,84 +/- 28 gr (49,21%). Existen diferencias significativas en el total de carbohidratos según la actividad diaria. Además, encontramos diferencias significativas en la altura del jugador, su tasa metabólica basal y gasto energético total, entre las posiciones de portero y jugador de banda avanzado (p < 0,05). DISCUSIÓN Y CONCLUSIONES: Tanto el aporte de carbohidratos como la cantidad global de calorías consumidas por el futbolista se encuentran por debajo del estándar recomendado (3600 kcal/día)

Despite soccer is the most popular sport on the planet, soccer player nutrition is certainly neglected. Physical activity requires a mixed use of the physiological systems for obtaining energy, requiring a complete intake of nutrients; and the role of carbohydrates in sports performance is well known. OBJECTIVES: The objective of this study is to determine the nutritional intake of macronutrients in a professional soccer team. MATERIAL AND METHODS: We carried out an epidemiological, descriptive and prospective study of a Spanish Second Division B team. They were 22 male players, with a mean age of 26.19 (19.5-31.6). We elaborated a protocol for collecting food eaten for 7 days, counting the macronutrient intake and quantifying the total energy expenditure, which varies depending on the training day and the player's position. RESULTS: The global carbohydrates consumed was 305.07+/- 56 gr (48.78% of calories). These values vary between the moderate activity day: 213.6 +/- 37 grams (39.93%) and the intense activity day: 361.84 +/- 28 grams (49.21%). We found significant differences in total carbohydrates based on daily activity. In addition, we found significant differences in the player height, their basal metabolic rate and total energy expenditure, between the positions of goal keeper and advanced band player (p <0.05). DISCUSSION AND CONCLUSIONS: Both carbohydrate intake and the overall amount of calories consumed by the footballer are below the recommended standard (3600 kcal / day)